<div class="ui raised very padded text segment">
    <div class="ui form">
        <div class="inline fields">
            <label for="region">商家联系人</label>
            <div class="field">
                <input class="five-input" type="text" name="contactUser" placeholder="">
            </div>
        </div>
        <div class="inline fields">
            <label for="region">商家手机号</label>
            <div class="field">
                <input class="five-input" type="text" name="contactPhone" placeholder="">
            </div>
        </div>
        <div class="inline fields">
            <label for="region">商家名称</label>
            <div class="field">
                <input class="five-input" type="text" name="name" placeholder="">
            </div>
        </div>
        <div class="inline fields">
            <label for="region">商家登录帐号</label>
            <div class="field">
                <input class="five-input" type="text" name="account" placeholder="">
            </div>
        </div>
        <div class="inline fields">
            <label for="region">登录初始密码</label>
            <div class="field">
                <input class="five-input" type="text" name="password" placeholder="">
            </div>
        </div>
        <div class="inline fields">
            <label for="region">商家简介</label>
            <div class="field">
                <input class="five-input" type="text" name="introduction" placeholder="">
            </div>
        </div>
        <div class="inline fields">
            <button class="ui button" id="distributorAddBtn" type="submit">提交</button>
        </div>
    </div>
</div>
